Annual ed workplace violence.07.10
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Annual ed workplace violence.07.10

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Annual ed workplace violence.07.10 Annual ed workplace violence.07.10 Presentation Transcript

  • WORKPLACE VIOLENCE Promoting a respectful workplace. Minimizing the risk of violence at the University Hospitals.
  • What’s included as violence?
    • Verbal abuse
    • Sexual harassment
    • Intimidation
    • False rumors
    • Assaults
    • Suicide
    • Rape
    • Threats
    • Domestic abuse
    • Stalking
    • Hostage taking
    • Sabotage
    • Terrorism
    • Kidnapping
    • Homicide
  • Basic types of workplace violence
    • Committed by an “outsider”; usually involves theft; has criminal intent
    • Committed by a customer or patient
    • Worker to worker violence
    • Personal relationship violence (spillover of domestic violence)
  • How much violence are we willing to tolerate?
    • In our hospitals, our policy is zero tolerance.
    • References: our hospital policies; OSHA Guidelines; JCAHO standards; Texas law; TDSHS hospital licensure standards
  • Elements in prevention
    • Staff and leadership education
    • EAP awareness and utilization
    • Strong customer service approach
  • Warning Signs
    • Type I (criminal intent): May be no signs; may be sudden.
    • Type II (patient/customer to staff): Early signs of anger (e.g., red face; raised voice)
    • Type III (worker to worker): Efforts to intimidate; blaming others; verbal threats; signs of drug or alcohol abuse
  • Warning signs, continued
    • Type IV (domestic violence spillover): frequent personal phone calls; late/tardy/unexcused absences; injuries without explanation; disregard or obsession with personal hygiene.
  • Do we have these incidents now? More assaults occur in healthcare and social service industries than in any other . (Reference: OSHA, 2002)
  • Areas at potentially greater risk:
    • Emergency Room
    • Admissions
    • Human Resources
    • Psychiatric Services
    • Hospital administrative areas
    • Women’s Services
    • Health Referral Center
    • Clinics
  • Hospital-wide approach
    • Leadership & staff education
    • Risk assessment & plan for each area
    • Documentation & tracking, trending
    • Available assistance & knowledge of how to access them
    • Follow up as needed with staff
  • Elements of a unit-specific plan
    • Risk assessment of the area
    • Staff training plan
    • How to get additional help
  • Key points in de-escalation
    • Introduce yourself and offer to assist
    • Ask and use the person’s name
    • Do all you can to respond to requests, at the time, before leaving the area
    • Be ready to get/seek help. Stay alert.
    • Close the loop, in terms of requests.
  • How to respond?
    • “Universal precautions” for violence (be prepared at all times)
    • Safety first /“hero” is not in the job description
    • Ask for help!
  • New Emergency Code!
    • Code Silver is an overhead page that calls the police immediately to your work area.
    • Code Rush is the page for help with a patient.
    • Use this page if anyone is immediately under threat of violence, abduction or if there is any indication that there is a weapon present.
  • Documentation
    • Note in the patient’s record any incident of responding directly to the patient, in a factual, behaviorally-based note
    • Report to HR any instances of workplace violence, even if already noted in the chart
    • Notify your director and/or the house supervisor right away (they also report these instances to HR)
  • Available Resources
    • Your manager or supervisor
    • Human Resources/Employee Relations staff
    • Office of Equal Opportunity & Minority Affairs at UT Southwestern: 214.648.4344
  • The hospitals’ goal: A safe, secure environment for our patients, their visitors, guests and our employees!